{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T18:17:29Z","timestamp":1790878649304,"version":"4.1.0"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"Introduction<\/jats:title>Dysmorphic uterus or T-shaped uterus is an increasingly frequent diagnosis among the infertile population that has been associated to worse reproductive results. Hysteroscopic metroplasty is a safe and simple procedure that can improve the reproductive outcomes in this group of patients, although the benefits of this procedure remains controversial due to the lack of adequate scientific evidence.<\/jats:p><\/jats:sec>Objective<\/jats:title>To analyze the hysteroscopic metroplasty using the SWOT (Strengths, Weaknesses, Opportunities and Threats) methodology.<\/jats:p><\/jats:sec>Data sources<\/jats:title>An electronic search from inception each database up to December 2021 including the following databases was conducted: PubMed-MEDLINE, EMBASE, Web of Science, The Cochrane Library, and Google Scholar.<\/jats:p><\/jats:sec>Methods of study selection<\/jats:title>Studies reporting outcomes of patients undergoing hysteroscopic metroplasty were included.<\/jats:p><\/jats:sec>Tabulation<\/jats:title>Not applicable<\/jats:p><\/jats:sec>Integration and Results<\/jats:title>Clinical evidence from the included studies suggests an improvement in reproductive results after performing hysteroscopic metroplasty especially in women with recurrent pregnancy loss and previous infertility, but all of them have relevant methodological limitations. For this reason, benefits, risks and alternatives of this intervention should be considered with caution.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Evidence from published data shows a probable association between dysmorphic uterus and poor reproductive outcomes. Hysteroscopic metroplasty in patients with dysmorphic uterus could improve pregnancy outcomes, but there is need of properly designed prospective controlled studies to determine the benefits of this technique.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.1097248","type":"journal-article","created":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T06:40:30Z","timestamp":1674715230000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Hysteroscopic metroplasty for the treatment of the dysmorphic uterus: A SWOT analysis"],"prefix":"10.3389","volume":"9","author":[{"given":"Maria","family":"Carrera","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Alonso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Antonio","family":"Dom\u00ednguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Luis","family":"Alc\u00e1zar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Carugno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Moratalla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"P\u00e9rez Mil\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Caballero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/0002-9378(77)90294-0","article-title":"Upper genital tract changes associated with exposure in utero to diethylstilbestrol","volume":"128","author":"Kaufman","year":"1977","journal-title":"Am J Obstet Gynecol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/S0015-0282(16)44114-2","article-title":"M\u00fcllerian anomalies: a proposed classification (an analysis of 144 cases)","volume":"32","author":"Buttram","year":"1979","journal-title":"Fertil Steril"},{"key":"B3","year":""},{"key":"B4","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1093\/humupd\/dmv048","article-title":"The presentation and management of complex female genital malformations","volume":"22","author":"Aci\u00e9n","year":"2016","journal-title":"Hum Reprod Update"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12958-016-0185-6","article-title":"Adenomyosis in infertile women: prevalence and the role of 3D ultrasound as a marker of severity of the disease","volume":"14","author":"Puente","year":"2016","journal-title":"Reprod Biol Endocrinol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.jogoh.2018.10.013","article-title":"Surgical correction of T-shaped uteri in women with reproductive failure: long term anatomical and reproductive outcomes","volume":"48","author":"Boza","year":"2019","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1649","DOI":"10.1177\/1933719118756774","article-title":"Hysteroscopic corrections for complete septate and T-shaped Uteri have similar surgical and reproductive outcome","volume":"25","author":"\u015e\u00fck\u00fcr","year":"2018","journal-title":"Reprod Sci"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1730","DOI":"10.1093\/humrep\/der056","article-title":"Surgical approach to and reproductive outcome after surgical correction of a","volume":"26","author":"Fernandez","year":"2011","journal-title":"Hum Reprod"},{"key":"B9","doi-asserted-by":"publisher","first-page":"832","DOI":"10.1016\/j.gyobfe.2007.07.025","article-title":"Diethylstilbestrol exposure in utero. 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